Tsana Nitowaukia Mattice, AGACNP-BC

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

100630 Issued in WI

Practice address

601 John St
Kalamazoo, MI 49007-5341

Phone

(269) 341-7654

NPI assigned

Mar 14, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI, WI, CT, VA, OH5 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 5

Specialty

Nurse Practitioner

Education

Georgetown University School of Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Prohealth Medical Group IncGroup PAC ID 3476465188, 475 clinicians

Otsego Physician Services PCGroup PAC ID 7416468954, 35 clinicians

Sound Physicians Intensivists of Virginia LLCGroup PAC ID 1759611411, 49 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bon Secours St Francis Medical Center Hospital, Midlothian, VA, CCN 490136
• Bon Secours Southside Medical Center Hospital, Petersburg, VA, CCN 490067
• Bon Secours Southern Virginia Medical Center Hospital, Emporia, VA, CCN 490097
• Bon Secours Memorial Regional Medical Center Hospital, Mechanicsville, VA, CCN 490069

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: direct@direct.bronsonhg.org
• Direct secure messaging: tmattice797646@direct.hfhs.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Otsego Physician Services PC

  • Internal Medicine Physician
  • Gaylord, MI
  • NPI 1346054236
  Medicare reassignment Care Compare group NPD
• Prohealth Medical Group Inc.

  • Pediatrics Physician
  • Waukesha, WI
  • NPI 1356322440
  Medicare reassignment Care Compare group NPD
• Sound Physicians Intensivists of Virginia LLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Richmond, VA
  • NPI 1619520806
  Medicare reassignment Care Compare group NPD
• Beaumont Medical Group- Specialty Services

  • Surgery Physician
  • Royal Oak, MI
  • NPI 1578072906
  Medicare reassignment NPD
• Bronson Battle Creek Hospital

  • Internal Medicine Physician
  • Battle Creek, MI
  • NPI 1093119638
  Medicare reassignment NPD
• Bronson Methodist Hospital

  • Hospitalist Physician
  • Kalamazoo, MI
  • NPI 1417961137
  Medicare reassignment NPD
• Allen Intensivist Group LLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Lima, OH
  • NPI 1811620057
  Medicare reassignment NPD
• Hospitalist Medicine Physicians of Connecticut - TCS

  • Internal Medicine Physician
  • Manchester, CT
  • NPI 1831712256
  Medicare reassignment NPD
• Thedacare, Incorporated

  • Family Medicine Physician
  • New London, WI
  • NPI 1376656959
  Medicare reassignment NPD
• Bronson Battle Creek Hospital

  • Community/Retail Pharmacy
  • Battle Creek, MI
  • NPI 1740351907
  NPD
• Diagnostic Pathology Services of Southwest Michigan PC

  • Anatomic Pathology & Clinical Pathology Physician
  • Kalamazoo, MI
  • NPI 1912241597
  NPD
• Patholgy Services of Kalamazoo, PC

  • Anatomic Pathology & Clinical Pathology Physician
  • Kalamazoo, MI
  • NPI 1548243595
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bon Secours Memorial Regional Medical Center LLC

  • General Acute Care Hospital
  • Mechanicsville, VA
  • NPI 1912969064
  Care Compare affiliation
• Bon Secours Mercy Health Emporia LLC

  • General Acute Care Hospital
  • Emporia, VA
  • NPI 1104461276
  Care Compare affiliation
• Bon Secours Mercy Health Petersburg LLC

  • General Acute Care Hospital
  • Petersburg, VA
  • NPI 1720623853
  Care Compare affiliation
• Bon Secours St Francis Medical Center LLC

  • Obstetrics & Gynecology Physician
  • Midlothian, VA
  • NPI 1003849381

  Hospital

  Care Compare affiliation
• Bon Secours St Francis Medical Center LLC

  • General Acute Care Hospital
  • Midlothian, VA
  • NPI 1447212592
  Care Compare affiliation
• Bon Secours St. Francis Medical Center Inc

  • Surgery Physician
  • Midlothian, VA
  • NPI 1427293133

  Hospital

  Care Compare affiliation
• Bon Secours St. Francis Medical Center Inc

  • Endocrinology, Diabetes & Metabolism Physician
  • Colonial Heights, VA
  • NPI 1518244854

  Hospital

  Care Compare affiliation
• Bon Secours St. Francis Medical Center Inc

  • Neurology Physician
  • Chester, VA
  • NPI 1811228711

  Hospital

  Care Compare affiliation
• Bon Secours St. Francis Medical Center LLC

  • Internal Medicine Physician
  • Midlothian, VA
  • NPI 1053698399

  Hospital

  Care Compare affiliation
• Bon Secours St. Francis Medical Center LLC

  • Family Medicine Physician
  • Midlothian, VA
  • NPI 1497788806

  Hospital

  Care Compare affiliation
• Bon Secours St. Francis Medical Center LLC

  • Family Medicine Physician
  • Chester, VA
  • NPI 1801173141

  Hospital

  Care Compare affiliation
• Bon Secours St. Francis Medical Center LLC

  • Family Medicine Physician
  • Powhatan, VA
  • NPI 1891071965

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1552521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1578022042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13633 8 1/2 MILE RD",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490147527",
            "telephone_number": "269-832-6187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 JOHN ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490075341",
            "telephone_number": "269-341-7654"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1818 N Meade St",
            "address_purpose": "LOCATION",
            "city": "Appleton",
            "state": "WI",
            "postal_code": "549113454",
            "country_code": "US",
            "telephone_number": "920-454-5767",
            "fax_number": "920-735-7618",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "130 2nd St",
            "address_purpose": "LOCATION",
            "city": "Neenah",
            "state": "WI",
            "postal_code": "549562883",
            "country_code": "US",
            "telephone_number": "920-729-2155",
            "fax_number": "920-735-7618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATTICE",
        "first_name": "TSANA",
        "middle_name": "NITOWAUKIA",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-14",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MI",
            "license": "4704300999",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "WI",
            "license": "14191",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "WI",
            "license": "100630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.bronsonhg.org",
            "affiliation": "Y",
            "endpointDescription": "Bronson Healthcare Group Direct address",
            "affiliationName": "Bronson Healthcare Group",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Continuity of Care Document",
            "address_1": "601 John St",
            "city": "Kalamazoo",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490075341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Matthew Rushlau Edd, LLC
• Elizabeth Matthews
• Le'la-Joy Aleane Matthews
• Michael S Mattia, MD
• Susan G Mattice, LPC
• Andrew Mattingly, MD
• Morgan Mattingly
• Laura Mattioli, ETS
• Colette Mattox
• Garry Arthur Mattox

• Acute Care Nurse Practitioner in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Acute Care Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.